Individual
LORETTA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
51 N DUNLAP ST, MEMPHIS, TN 38105
(901) 287-5274
Mailing address
49 SFC 108, PALESTINE, AR 72372-9344
(870) 581-2000
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
13932
TN
Other
Enumeration date
02/11/2009
Last updated
07/05/2018
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